虚拟现实:改变星形细胞瘤 III 级诊断和手术规划的游戏规则:病例报告。

IF 0.9 Q3 MEDICINE, GENERAL & INTERNAL Journal of Medical Case Reports Pub Date : 2024-08-17 DOI:10.1186/s13256-024-04679-w
Mohammed Alhamood, Amin Abbass, Rida Hasn
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引用次数: 0

摘要

背景:在充满活力的现代医学领域,虚拟现实技术的出现预示着一个变革时代的到来,它以身临其境的优势重塑了诊断和手术规划的轮廓。本研究深入探讨了虚拟现实技术在复杂的神经外科手术中的突破性应用,特别强调了它在星形细胞瘤 III 级治疗中的作用--这是一项非常复杂的脑部挑战:一名来自叙利亚的 30 岁中东男子被无形的疼痛缠绕着,表现为持续性头痛以及颈部和四肢麻木的感觉。两个月来,清晨的阳光不仅没有给他带来希望,反而加剧了他的痛苦,使他无法参与日常的生活。镇痛药这些常用的缓解药物也束手无策,无法给他带来任何喘息的机会。他的神经系统检查正常,感觉和运动检查没有发现病变,反射正常,没有脑膜和小脑征象。他有乳腺癌家族史。最初通过计算机断层扫描和磁共振成像检查进入他神秘的大脑深处时,在右侧颞叶发现了一个病灶,这个病灶暗示着更邪恶的东西。之前的医疗干预包括针对顽固性头痛的镇痛药物,但这些药物并不能缓解症状。在确诊之前,没有采取任何其他治疗措施。就在这时,虚拟现实技术出现了,它不仅仅是一种工具,更是一盏精准的明灯,为朦胧的入侵者投射出三维的光芒。这一技术奇迹允许进行 21.8 × 14.5 毫米的精确测量,并在颞剧院内进行定位,为接下来的工作奠定了基础。在明确了路径之后,病人开始了手术的奥德赛,寻求切除这个不速之客。手术取得了胜利,证明了人类的智慧和肉体与机器之间的共生关系。术后通过组织病理学检查,证实了这是一个三级星形细胞瘤,一种以快速增殖而闻名的脑部侵入者。然而,战斗远未结束。辅助放疗和化疗成为了这场战争中的盟友,它们的强大力量共同抵御着细胞的叛乱。通过定期的临床和神经系统检查、实验室检测以及脑磁共振成像的警惕性观察,患者在治疗过程中的病情得到了控制:在这段关于顽强精神和技术实力的叙述中,我们见证了人类触觉和数字精度的和谐融合,这种合作关系重新定义了医学和治疗艺术的界限,通过使用虚拟现实技术诊断星形细胞瘤,提高神经外科手术的准确性、有效性和安全性,最终使脑肿瘤患者受益。
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Virtual reality: a game-changer in the diagnosis and surgical planning of astrocytoma grade III: a case report.

Background: In the dynamic realm of modern medicine, the advent of virtual reality technology heralds a transformative era, reshaping the contours of diagnosis and surgical planning with its immersive prowess. This study delves into the groundbreaking application of virtual reality in the intricate dance of neurosurgery, particularly spotlighting its role in the management of astrocytoma grade III-a cerebral challenge of significant complexity.

Case presentation: A 30-year-old Middle Eastern man from Syria grappled with the invisible tendrils of pain, manifesting as persistent headaches and a numbing sensation that crept into his neck and extremities. For two relentless months, the morning sun brought not hope but an intensification of his agony, rendering him unable to partake in the daily dance of life. The usual sentinels of relief, analgesic drugs, stood defeated, offering no respite. The neurological examination was normal, there were no pathological findings on sensory and motor examination, and he exhibited normal reflexes and neither meningeal nor cerebellar signs. He showed a family history of breast cancer. The initial foray into the enigmatic depths of his brain via computed tomography and magnetic resonance imaging imaging unveiled a finding in the right temporal lobe, a lesion that suggested something more sinister. Previous medical interventions included analgesic medications prescribed for persistent headaches, but they offered no relief. No other therapeutic interventions were administered prior to the current diagnosis. It was here that virtual reality technology emerged not as a mere tool but as a beacon of precision, casting a three-dimensional light on the shadowy intruder. This technological marvel allowed for meticulous measurement 21.8 × 14.5 mm and localization within the temporal theater, setting the stage for what was to come. With the path laid clear, the patient embarked on a surgical odyssey, a quest to excise the unwelcome guest. The operation was a triumph, a testament to human ingenuity and the symbiotic relationship between flesh and machine. The postoperative verdict was delivered through the lens of histopathology, confirming the presence of an astrocytoma grade III, a cerebral interloper known for its rapid proliferation. The battle, however, was far from over. Complementary radiotherapy and chemotherapy were enlisted as allies in this ongoing war, their potent forces working in concert to stave off the cellular insurgence. The patient's journey through the healing arts was charted by periodic clinical and neurological examinations, with laboratory tests and the vigilant gaze of brain magnetic resonance imaging ensuring a watchful eye was kept on any potential resurgence.

Conclusions: In this narrative of resilience and technological prowess, we witness the harmonious fusion of human touch and digital precision, a partnership that redefines the boundaries of medicine and the art of healing, by use of virtual reality technology in the diagnosis of astrocytoma and enhancing the accuracy, effectiveness, and safety of neurosurgical procedures, which can ultimately benefit patients with brain tumors.

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来源期刊
Journal of Medical Case Reports
Journal of Medical Case Reports Medicine-Medicine (all)
CiteScore
1.50
自引率
0.00%
发文量
436
期刊介绍: JMCR is an open access, peer-reviewed online journal that will consider any original case report that expands the field of general medical knowledge. Reports should show one of the following: 1. Unreported or unusual side effects or adverse interactions involving medications 2. Unexpected or unusual presentations of a disease 3. New associations or variations in disease processes 4. Presentations, diagnoses and/or management of new and emerging diseases 5. An unexpected association between diseases or symptoms 6. An unexpected event in the course of observing or treating a patient 7. Findings that shed new light on the possible pathogenesis of a disease or an adverse effect
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